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Individual

DR. RIAZ S CASSIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
Mailing address
P. O. BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
20373
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810000120
WV
Enumeration date
08/23/2006
Last updated
11/05/2008
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